Individual provider Active NPI

Andreana Megan Johnson, MD

  • Obstetrics & Gynecology Physician
  • Boaz, AL
National Provider Identifier
1508014457
Registry record updated Aug 18, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
TRN11180 Issued in FL
Practice address
2525 US Highway 431
Suite 200
Boaz, AL 35957-5934
Phone
(256) 840-3396
Fax
(256) 840-3394
NPI assigned
Sep 4, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 18, 2011

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X TRN11180 FL Primary
Obstetrics & Gynecology Physician 207V00000X MD31039 AL
Obstetrics & Gynecology Physician 207V00000X ME106466 FL

Addresses

Primary practice location

2525 US Highway 431
Suite 200
Boaz, AL 35957-5934

Mailing address

2525 US Highway 431
Suite 200
Boaz, AL 35957-5934
Phone (256) 840-3396

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120625000457 AL Practitioner - Obstetrics/Gynecology 7012172000 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
University of Alabama School of Medicine, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Marshall Medical Center SouthGroup PAC ID 1153483797, 8 clinicians

Practice addresses (Care Compare)

2505 US Hwy 431
Boaz, AL 35957-5908
Phone (256) 593-8310

2525 US Hwy 431
Suite 200
Boaz, AL 35957-5967
Phone (256) 840-4551

Hospital & facility affiliations

  • Marshall Medical Centers Hospital, Boaz, AL, CCN 010005

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of the uterus1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD31039ALMDObstetrics & Gynecology Physician
ME106466FLMDObstetrics & Gynecology Physician
TRN11180FLMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Marshall Medical Center South Obstetrics & Gynecology CurrentSince Jul 4, 2012 Accepting new patients
Marshall Medical Center North Obstetrics & Gynecology Past Accepting new patients
HH Health System - Marshall LLC Past Accepting new patients

Locations

2505 US Highway 431
Boaz, AL 35957
Phone (256) 506-0061

2505 US Highway 431
Ste B
Boaz, AL 35957
Phone (256) 840-3396

2525 US Highway 431
Ste 200
Boaz, AL 35957
Phone (256) 593-2221

Interoperability endpoints

  • FHIR API: https://fhir-usa.unify.chbase.com/org/marshso-0747d29f
  • Direct secure messaging: andreanajohnson@mcobg.allscriptsdirect.net
  • FHIR API: https://api.platform.athenahealth.com/1994/brand/1/csg/1/fhir/r4
  • FHIR API: https://fhir-usa.unify.chbase.com/org/marshso-ac1b915e

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1220486400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1313625600000",
    "number": "1508014457",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2525 US HIGHWAY 431",
            "address_2": "SUITE 200",
            "city": "BOAZ",
            "state": "AL",
            "postal_code": "359575934",
            "telephone_number": "256-840-3396",
            "fax_number": "256-840-3394"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2525 US HIGHWAY 431",
            "address_2": "SUITE 200",
            "city": "BOAZ",
            "state": "AL",
            "postal_code": "359575934",
            "telephone_number": "256-840-3396",
            "fax_number": "256-840-3394"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "ANDREANA",
        "middle_name": "MEGAN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-09-04",
        "last_updated": "2011-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "FL",
            "license": "TRN11180",
            "primary": true
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "AL",
            "license": "MD31039",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "FL",
            "license": "ME106466",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boaz, AL

Sources for this page

Verify at the official NPI Registry.